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Home blood pressure management intervention in low- To middle-income countries: Protocol for a mixed methods study

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Version 2 2024-06-04, 12:35
Version 1 2017-11-05, 21:56
journal contribution
posted on 2024-06-18, 04:44 authored by C Anderson, S Dadabhai, A Damasceno, A Dzudie, Shariful IslamShariful Islam, D Kamath, N Kandula, N Kayange, R Quispe, A Roy, S Shah, R Vidal-Perez
BACKGROUND: Control of hypertension in low- and middle-income countries (LMICs) is poor, often less than 10%. A strong body of evidence demonstrates that home blood pressure management lowers blood pressure, and recent guidelines from the National Institute for Clinical Health and Excellence recommends home blood pressure monitoring. However, the preponderance of data on the benefits of home blood pressure management comes from studies in high-income countries. OBJECTIVE: The objective of the study is to examine whether an intervention of home blood pressure management is feasible in LMICs. Home blood pressure management is defined as self-monitoring of blood pressure and self-titration of antihypertensive medications. We will identify barriers and facilitators of home blood pressure management and explore unique contextual factors in LMICs that influence implementation of home blood pressure management. METHODS: Participants will be recruited from 6 sites from 2015 to 2018. Patients and health care workers will be included. We will use mixed methods including focus groups, interviews, and standardized checklists. When possible, we will adapt materials from prior successful studies so that they are culturally and contextually appropriate. RESULTS: This ongoing study is funded by the World Heart Federation. The information that is obtained will be used to develop a randomized clinical trial of home blood pressure management in LMICs. CONCLUSIONS: The data generated from this qualitative study will provide much needed information from patients and health care workers about barriers and facilitators of home blood pressure management and unique contextual factors that might influence implementation of home blood pressure management in LMICs.

History

Journal

JMIR Research Protocols

Volume

6

Article number

ARTN e188

Pagination

e188 - e188

Location

Canada

ISSN

1929-0748

eISSN

1929-0748

Language

English

Publication classification

C Journal article, C1.1 Refereed article in a scholarly journal

Copyright notice

2017, The Authors

Issue

10

Publisher

JMIR PUBLICATIONS, INC